Advanced Chiropractic Center

LBN: Advanced Chiropractic Center
Advanced Chiropractic Center is an health care organization with primary practice located at 705 North Fraser Street Advanced Chiropractic Center, Georgetown SC 29440. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Advanced Chiropractic Center can be contacted via phone (843) 545-1396, or through Jordan, Kenneth W via phone (843) 545-1396.

Contact Information

Primary practice address
705 North Fraser Street Advanced Chiropractic Center Georgetown SC 29440
Phone: (843) 545-1396
Fax: (843) 527-8353
Website:
Map and Directions
Authorized official contact:
Name: Jordan, Kenneth W Doctor of Chiropractic (DC)
Phone: (843) 545-1396

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3056 South Carolina

Profile Details

NPI number 1083882054
LBN Legal business name Advanced Chiropractic Center
DBA Doing business as Advanced Chiropractic Center
Authorized official Jordan, Kenneth W Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2008
Last updated Jul 16th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083882054 NPPES
South Carolina Other GCH507 MEDICAID GRP #
South Carolina MEDICAID CH3056 MEDICAID GRP #

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